Most Relevant Information
Provider Data
| NPI Number: | 1003069626 |
| Provider Name: | PATRICIA MARIE BERADUCCI OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 004961-1 |
Most Important Dates
| Enumeration Date: | 10/28/2008 |
| Last Updated: | 10/28/2008 |
Provider Practice Location
15 W 65TH ST
NEW YORK
NY
100236601
Practice Location Phone/Fax
| Phone: | 2127696310 |
| Fax: |
Provider Mailing Location
15 W 65TH ST
NEW YORK
NY
100236601
Provider Mailing Phone/Fax
| Phone: | 2127696310 |
| Fax: |